| NPI | 1225107733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN SMITH Manager 713-524-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX L2664) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |